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Organization
FUNCTIONAL REHAB OF EAST FT. MYERS, INC.
Active
Organization
FUNCTIONAL REHAB OF EAST FT. MYERS, INC.
Active
Other names
Rehab & Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO DIAZ SAUSA JR. MA, D.P.T. (PRESIDENT)
(239) 850-1891
Entity
Organization
Contact information
Practice address
14630 PALM BEACH BLVD, SUITE 6, FORT MYERS, FL 33905-2333
(239) 690-3100
(239) 693-3200
Mailing address
PO BOX 2565, FORT MYERS, FL 33902-2565
(239) 690-3100
(239) 693-3200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7037
FL
Other
Enumeration date
05/16/2006
Last updated
07/23/2014
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